Making Family Planning Services Relevant to Adolescents: Perspectives from Rural Communities in Central Ghana

Type Journal Article - Open Journal of Preventive Medicine
Title Making Family Planning Services Relevant to Adolescents: Perspectives from Rural Communities in Central Ghana
Author(s)
Volume 4
Issue 11
Publication (Day/Month/Year) 2014
Page numbers 852-859
URL http://www.popline.org/node/639408
Abstract
In lower middle-income countries like Ghana, it is common to find low contraceptive use among
adolescents with corresponding high pregnancy outcomes. Evidence points to the fact that the use
of contraceptives prevents maternal, neonatal and infant deaths, but in most lower middle-income
countries, socio-cultural practices inhibit adolescents’ use. Ensuring the uptake of family planning
among adolescents is deemed a necessary means of reducing maternal, neonatal and infant mortality.
This manuscript seeks to provide contextually relevant approaches to satisfying family
planning needs of adolescents in a population lacking it. We employed a qualitative study design
from an interpretive paradigm with phenomenology as the methodology to understand societal
attitudes towards family planning delivery to adolescents, so as to arrive at contextually appropriate
ways of providing family planning to this needy group. Focused group discussions and
in-depth interviews techniques were used in data collection among adolescents, relevant community
opinion leaders and family planning & health services providers. Themes that emerged from
data analysis with respect to “perspectives on family planning care delivery to adolescents” and
“best ways in addressing adolescents’ family planning needs” are presented, followed by discussion
of the issues emerging. A significant and encouraging finding of the study was that opinion
leaders and healthcare providers viewed family planning as a means of protecting adolescents
against pregnancies and their complications. A key recommendation is for policy makers and political
leaders to enact legislations that enable adolescents to have friendly family planning service
delivery in all places and at all times.

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